MEDICARE: METRO FAMILY PRACTICE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)	100728002	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	725502	OTHER	PA	HIGHMARK BLUES

General Provider Information

NPI Number	:	1740283845
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METRO FAMILY PRACTICE, INC.

Provider Business Mailing Address
First Line	:	1789 S BRADDOCK AVE
Second Line	:	SUITE 410
City	:	PITTSBURGH
State	:	PA
Zip	:	15218-1842
Country	:	US
Telephone Number	:	412-247-2310
Fax Number	:	412-247-4060

Provider Business Practice Location Address
First Line	:	1789 S BRADDOCK AVE
Second Line	:	SUITE 410
City	:	PITTSBURGH
State	:	PA
Zip	:	15218-1842
Country	:	US
Telephone Number	:	412-247-2310
Fax Number	:	412-247-4060

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MS. MARLENE HUGHES
Credential	:
Telephone Number	:	412-247-2310

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	04/18/2017

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Directions to “METRO FAMILY PRACTICE, INC. ” Practice Location

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